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Commonly used as a solution for male incontinence, the male sling is a mesh ribbon that is usually made of plastic that is implanted under the urethra to help control the flow of urine. The sling pulls the urethra upwards, giving it support so that accidental leakage is prevented.PB Urology - Is The Male Sling Right For Me - APR

Fortunately, the procedure is minor and recovery time, making it a convenient way to get your quality of life back.

But is it right for me?

Though the male sling procedure hasn’t been around quite as long as other incontinence-correction procedures, it does have a high success rate. When compared to more complex options such as the artificial sphincter operation, the sling is a great choice for many, but it may not be the right option for everybody. Ideally, a candidate should match the following criteria:

  • Stress incontinence induced by a prostatectomy operation
  • No improvement in condition after exercising the pelvic floor for an extended period
  • Incontinence levels requiring 1-3 pads each day
  • No overnight incontinence
  • No radiotherapy treatment

What can I expect during the procedure?

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Vasectomies have become a very common procedure for men all over the country, and has proven to be a fantastic form of non-drug birth control. Many men however, are hesitant about the procedure because of a number of false myths surrounding the procedure. Some of the most common falsehoods we hear are:PB Urology - 4 Myths About Vasectomies - MAR

Your Ability to Ejaculate will be Compromised

This is one of the most common concerns we hear. The truth though, is that if you were able to ejaculate prior to a vasectomy, you will be able to afterwards.

The majority of what makes up ejaculatory fluid is created in both the prostate and seminal vesicles, neither of which are affected curing a vasectomy. Less than 1% of what is ejaculated is made up of sperm, so you will not notice a difference.

My Testosterone Levels will Drop

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If you’ve ever experienced the pain of a kidney stone, it’s something that you likely won’t forget for a long time. That searing, unbearable discomfort that comes in waves as the stone passes through your urinary plumbing is enough to drive somebody crazy. What’s even worse, for many people, kidney stones aren’t a one-time thing.PB Urology - How to Prevent Kidney Stones - MAR

Kidney stones are formed when certain mixtures of chemicals come together to form crystals. These crystals then grow into stones of various sizes, before being passed through the body. Most stones are caused by the combination of calcium with either oxalate or phosphorus.

With a few easy steps, you can prevent kidney stones from becoming an issue in the future.

Stay hydrated                 

Proper hydration is key to kidney stone prevention. Keeping an adequate amount of water flowing through your kidneys prevents the stone-causing substances from accumulating. Drinking about 2 liters of water per day, or eight, 8-ounce cups is enough to reduce your risk for stones.

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With over 18 million people affected by erectile dysfunction (ED) in the US, the majority of them are often faced with a dilemma when it comes to selecting the best treatment option. Most of them seek refuge in prescription pills, which in most cases prove ineffective and thus necessitating a penile prosthesis surgery–a reservoir and a pump surgically placed in the body to rebuild penile organs.penile prosthesis

Reasons to Consider a Penile Prosthesis

  • Non-working medical options for ED treatment: Unlike using other therapeutic options, studies show that penile prosthesis procedures are 90-95% efficient and that about 93 % of men would opt for the procedure again, given a chance.
  • Quicker recovery period: Although immunity is different among men, recovering from prosthesis implant surgery takes between four and six weeks after which he can have intercourse again.
  • Controls Peyronie’s disease: A prosthesis implant is critical in surgery that involves reconstructing a scarring penis, which causes curved erections. It allows patients to erect appropriately once again, experience, sense, and enjoy sex naturally and without any discomfort.
  • A natural feel and look: Inflatable penile prosthesis mimics the natural physiological erection so close that the erection looks and feels natural. The procedure allows the penis to remain semi-rigid and merely requires lifting or adjusting into the erect position to initiate sex.
  • Distinct resolution to ED: Although the surgical scar is slightly noticeable, there is a higher chance that other people may fail to notice giving the patient more confidence in his choice.

Palm Beach Urology

The Palm Beach Urology is renowned for its world-class urology services using top-notch technology in diagnosing and treating erectile dysfunction. With a wealth of experience in penile prosthetic surgery, our doctors pride in the quality of services that each patient receives.

Tired of the same ED treatment not working and ruining your sex life? Palm Beach Urology services are just a phone call away! We offer personalized care for ED patients of all ages and have restored joy to thousands of couples who had lost hope in their sex life.

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Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive, non-surgical technique used here at Palm Beach Urology to treat some types of kidney stones located in the kidney and/or ureter. This procedure takes approximately an hour, and is done as an outpatient procedure. General anesthesia isn’t needed, however, patients may receive local anesthesia and/orPB Urology - Extracorporeal Shock Wave Lithotripsy mild sedatives to help make them more comfortable.

During an ESWL treatment, the patient lies on an operating table with a soft, water-filled cushion positioned either on the abdomen, or behind the affected kidney. A urologist then uses an x-ray or ultrasound test to pinpoint the exact location of the stone(s), and uses a device known as a lithotripter to apply high-frequency shock waves to the stones to break it into tiny fragments that can be excreted from the patient in their urine.

Following lithotripsy, patients may experience mild discomfort for a few days, especially while voiding out the kidney stone fragments. Some blood may also be visible in the urine.

Benefits of extracorporeal shock wave lithotripsy include:

  1. As a minimally-invasive procedure, ESWL allows patients to be treated without the costs and risk of complications associated with open surgery
  2. Safe and effective for most patients
  3. Patients are able to return to their normal activities within a few days of the procedure.

To learn more about kidney stone diagnosis and treatment options, or to schedule a consultation with one of our ESWL specialists here at Palm Beach Urology, call us today at 561-790-2111.

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Despite how it may seem for some couples, the conception of a child is not a simple process. It depends on a multitude of factors and conditions all coming together in the proper way at the proper time, and though it can be frustrating to wait, most couples shouldn’t be greatly concerned about infertility unless they have been trying to conceive for a year or more without success. It’s important to note, fertility problems are not uncommon and nothing to be embarrassed about.Infertility new

The main causes of infertility include:

•    Abnormal sperm production - Low or abnormal sperm production can be caused by a number of factors such as genetics, certain medical conditions and enlarged veins in the testes (Varicocele).
•    Problems with the delivery of sperm - Premature ejaculation, structural problems, blockage or damage to the sexual organs prevent ejaculation and cause infertility.
•    Overexposure to certain environmental factors – Overexposure to pesticides, alcohol, cigarettes or marijuana smoke, and excessive heat are all environmental factors that can result in infertility.
•    Chromosome defects – Disorders such as Klinefelter’s syndrome, where the male is born with two X chromosome and one Y chromosome, can cause abnormal development of the male reproductive organs.

Infertility can be frightening and frustrating for people looking to start a family. If you and your partner have been trying to conceive for a year or more and have not been successful, contact your local urologists at Palm Beach Urology for a consultation. We offer more than state-of-the-art urology treatment, we offer world-class medical services by specialists who care.

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Bladder cancer is the fourth most-common cancer among men in the United States, with nearly 77,000 new cases diagnosed annually between both sexes (approximately 59,000 men and 18,000 women). When detected early, most forms of bladder cancer can be successfully treated through immunotherapy, chemotherapy, radiation, and/or radical cystecomy (bladder removal).bladdercancerpburology 1

Signs and Symptoms of Bladder Cancer
Often, the early stages of bladder cancer cause few symptoms, and when symptoms do appear, they can be confused with a urinary tract infection (UTI). Some of the symptoms of bladder cancer include:
•    Blood in the urine, which may be either bright-red or dark drown when visible
•    Frequent urination that is often painful
•    Difficulty emptying the bladder
•    Bladder spasms
•    Urinary incontinence
•    Lower back and/or flank pain (over the kidneys)
•    Pain in the lower abdominal and/or pelvis

How Early Detection Helps    
As with most types of cancer, when bladder cancer is detected early, treatment success and survival rates are high. Most bladder cancers begin on the innermost lining of the bladder, and can spread into the layers of muscle surrounding the bladder, where it becomes more difficult to treat, so it’s important to detect bladder cancers before they become ‘muscle invasive’.

If you or a loved one is experiencing any of the above signs and symptoms of bladder cancer, call Palm Beach Urology at 561-790-2111 to schedule a consultation with one of our experienced, compassionate urologists.

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Historically, surgeries were incredibly invasive procedures that required weeks or months of recovery, involved a high rate of risk, and caused significant pain. These days, however, robotic-assisted laparoscopic surgery changes the way surgeons approach certain procedures. For many, the benefits of this type of surgery make choosing and scheduling an operation easier.

Is Surgery Right for You?

Laparoscopic surgeries include any procedure that involves small incisions and fiber optic instruments used inside the abdomen. The use of robotic technology allows surgeons to make more-precise movements during procedures. At Palm Beach Urology, we use robotic-assisted laparoscopic procedures to improve our ability to treat prostate cancer.

Choose Robotic-Assisted Laparoscopic Surgery

Health care professionals appreciate the technology for its exactness, and patients appreciate the technology for its benefits. If you qualify for this type of procedure, you may experience:

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According to the American Cancer Society, there were over 200,000 new cases of prostate cancer diagnosed in the United States alone. Prostate cancer is just too prevalent to ignore, so you should do everything in your power to stay informed and be ready in the event of a positive diagnosis. 7 Questions to Ask a Urologist About Prostate Cancer

One of the best ways to get the information you need is to have a talk with a urologist. We understand that it can be difficult or awkward to talk about sensitive matters to your doctor, so here is a list of questions to consider asking:

  1. Does family history play a role in my likelihood of getting prostate cancer? What factors are the most significant?
  2. Are certain races more susceptible to prostate cancer than others?
  3. Is a PSA (prostate specific antigen) test necessary for detecting cancer?
  4. Are there any other tests I need to consider? What are the most accurate testing methods?
  5. In what cases is it smarter to live with prostate cancer, rather than treating it?
  6. Does my diet have an effect on my likelihood of getting prostate cancer? Are there any foods I need to eat or avoid?
  7. Are there any technological advances on the horizon that may help in the event I am diagnosed with prostate cancer?

A cancer diagnosis is never an easy time; it can turn a person’s entire world upside down. Taking preventative precautions and asking the right questions can really go a long way towards preventing prostate cancer. To sit down with one of our urologists, or for any other questions, give Palm Beach Urology a call today at 561-790-2111.

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Incontinence in men is a far more common issue than many people think. Of the over 200,000 cases of prostate cancer diagnosed every year in the US, a large portion of those men will experience some degree of incontinence after undergoing treatment.Male Sling for Incontinence

A prostatectomy, or removal of the prostate gland, is a common treatment for prostate cancer but results in mild incontinence in 10-15% of patients. Because this issue is caused by the lack of a prostate gland, it can’t be fixed through medical therapy. The male sling is the minimally-invasive solution to this problem.

In the past, the only solution for male incontinence was a major surgery that implanted an artificial sphincter muscle to regulate the flow of urine. This is great for patients with severe incontinence, but is overkill for mild to moderate conditions. Not only is this procedure much more complex than a sling, the recovery time is much longer as well. The procedure to install a sling is generally done as an outpatient procedure involving only one small incision. Patients who have had the procedure typically go home the same day, and are back to their normal daily activities in a few weeks.

If you’re experiencing mild to moderate incontinence and think the male sling is for you, give Palm Beach Urology a call today at 561-790-2111 to discuss your options.

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Erectile dysfunction (ED) can be very stressful to the affecting individual. It can lead to a lack of self-confidence and create a barrage of relationship problems. Though this is a sensitive subject for most males, Palm Beach Urology recommends addressing the issue as it can be a sign of other serious health conditions. In some cases, treating any underlying condition or PB Urology - Penile Prosthesis - A solution for EDtreating the ED directly will rectify a patient’s problem, however, periodically direct treatment is needed.

What is a penile prosthesis?

Penile prosthesis are malleable or inflatable implants that allow patients to have direct control of the onset and duration of an erection. While they assist with erections, they don’t increase a man’s sexual sensation or desire. Studies have shown that approximately 94% of men were satisfied with their penile prosthesis, and with most insurance companies covering the procedure, it is of minimal to no cost for patients.  There are multiple types of penile implants and during your consultation, your doctor will determine which solution is best for you. Some of the things your doctor will consider when making a determination are as follows:

  • Patient’s body size
  • Patient’s life expectancy
  • Overall penile and scrotum size
  • History of previous implant (if applicable), and
  • Patient age, medical history, and overall health

The implantation of a penile prosthesis is a very safe and successful procedure and has minimal recovery time. However, like any other treatment, there are associated side effects. Your doctor will identify the possible side effects to which you’re more susceptible and monitor you during and after surgery, and at follow up visits.

For more information about Penile Prosthesis and how we can help you, make an appointment with Palm Beach Urology by calling 561.790.2111 today.

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A varicocele (VAR-ih-koe-seel) is an enlargement of the veins (varicose veins) within the scrotum. Varicoceles are painful and often cause decreased sperm production and decreased sperm quality. They can also cause infertility and stunted growth or shrinkage of testicles. In most cases, varicoceles develop over time, and are easily diagnosed. If the damage is extensive and causing symptoms, the vein can be repaired with minor surgery.

Symptoms

In most cases, males diagnosed with varicocele experience little to no pain.  They can also experience swelling of the scrotum, masses in the scrotum, and different sized testicles. In the extreme event where you are experiencing extreme pain in your scrotum, it is important to see your doctor here at Palm Beach Urology Associates for a physical exam.

Causes

Your spermatic cord carries blood to and from your testicles. Experts believe that varicoceles forms when the valves inside the veins in the cord prevent your blood from flowing properly. This results in a backup of blood in the vein, causing the vein to widen. This dilation of the vein is what causes potential damage to the testicle. It is believed that varicoceles are formed during puberty and occur in the left testicle because of the position of the left testicular vein. Regardless of origin, it can cause decreased sperm productivity in both testicles.

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There are many well documented diseases known to be associated with smoking: kidney cancer, asthma, heart disease, lung cancer, and the list goes on. If for some reason these aren’t enough to deter somebody from smoking, there’s now another to add to that list: bladder cancer.Bladder Cancer- Another Reason to Stop Smoking

How does smoking affect the urinary system?
Our body is a complex network of interconnected systems. As you inhale the smoke form your cigarette, cigar, or whatever it may be, you may be thinking only of the effect on your mouth and lungs. Once that smoke is inhaled though, the carcinogenic chemicals in the smoke are absorbed into the blood stream. Once in the blood, it is filtered through your kidneys in order to remove any ‘waste’ such as the cancer-causing chemicals which are then deposited into the urine.
As the urine sits in the bladder waiting to be expelled, the carcinogenic chemicals damage the cells lining the bladder, increasing your risk of cancer.

How does this impact your chance of bladder cancer?
The American Cancer Society estimated that in 2015 there would be about 74,000 cases of bladder cancer in the United States. Almost 50 percent of that 74,000 will have been linked in some way to smoking. You are about three times more likely to be diagnosed with bladder cancer if you smoke than otherwise. Why take that chance?

Give the experts at Palm Beach Urology Associates a call today to set up an appointment at 561-790-2111.

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Advances in technology have led to the advent of technology that allows a surgeon to treat prostate cancer using a robotic system which offersRobotic Prostate Surgery many advantages over traditional laparoscopic surgical methods in many key areas:

Clinically Superior Results

Robotic surgery systems are able to provide superior clinical treatment results when compared to non-robotic and scope-assisted approaches. These robotic systems provide the surgeon with a revolutionary three-dimensional, multi-level magnification imaging system. Traditional scope-assisted procedures generally provide the surgeon with a much lower resolution image, as well as a limited field of view. The highly precise electronics and slim profile of the surgical arms allow the surgeon to make the most precise movements during surgery. This allows the malignant tissue to be removed with a level of precision previously unheard of before, which transfers into a reduction in the likelihood of a relapse due to missed cancer tissue.

Reduced Risk of Complications

Although surgery is somewhat risky by nature, robotics have helped prostate cancer treatment to become much safer than it was previously. Surgery is often the most effective choice for the removal of malignant tumors without having to worry about the painful side effects of chemotherapy or radiation. One of the most serious risks of surgical treatment is the potential for infection, which is often the primary cause of complications that may hamper an otherwise quick recovery. Robotic systems help with this in that the incisions created are much smaller than with traditional methods, thus creating a smaller area that would be susceptible to infection.

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Prostate cancer is unfortunately a major cancer for men. We at Palm Beach Urology believe that arming yourself with knowledge is one of the best ways to handle prostate cancer both before and after a diagnosis. Here are some statistics to help you better understand prostate cancer:PB Urology  4 Prostate Cancer Stats to Know Image


1.    Prostate cancer is the 2nd most common cause of death by cancer for men.
The most common cancer death for men is lung cancer. Even though prostate cancer comes in at #2, it still has a considerably higher survival rate over lung cancer.

2.    There are roughly 2.5 million men living with prostate cancer right now.
Because this number is high, you’ll find a wealth of resources and information regarding prostate cancer. You’ll also be part of a large support network.

3.    Around 1 in 7 men will be diagnosed with prostate cancer.
While that figure may seem high, research shows that 98.9% of people diagnosed with prostate cancer survive at least 5 years beyond the diagnosis.

4.    About 6 out of 10 men diagnosed with prostate cancer are over 65 years old.
While there’s no definitive cause for prostate cancer, age is a factor. That being said, men can be diagnosed with prostate cancer under 40 as well. Given that the typical diagnosis age is higher, the expected survival rate is considerably more impressive.

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A cancer diagnosis is jarring. It’s hard to know what the immediate future will hold. The best way to stay grounded is to gather as much information about your prostate cancer as possible. While there’s no way to have all the answers, your doctor has many of them. Compile a list of any questions you have, big or small. Even if they seem inconsequential, prepare to ask PB Urology  10 Questions to Ask Your Urologist about Prostate Cancer Imagethem. Your doctor wants to help and educate you, so don’t hesitate to fire away.

Here are 10 questions about your prostate cancer diagnosis to get you started:

  1. What are the chances the cancer has spread beyond my prostate?
  2. What further tests do you recommend and why?
  3. What is the Gleason score (grade) and clinical stage of my cancer?
  4. Given the score and grade, am I a low-risk, intermediate-risk, or high-risk patient? What is my expected survival rate?
  5. What types of radiation therapy do you think will work best for me? Are there other, non-radiation treatment options I should consider?
  6. What side effects should I expect from treatment?
  7. How will treatment affect my daily life?
  8. What should I do to prepare for treatment?
  9. What will treatment be like and how long does it take?
  10. What are the chances my cancer could come back after the treatment plan we decided on? What would my next steps be?

Again, ask as many questions as you’d like. Arming yourself with knowledge is one of the best ways to prepare for cancer treatment. For more information on prostate cancer treatments or to make an appointment, call Palm Beach Urology today at 561-790-2111.

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Urinary tract infections (UTIs) are not fun. They can disrupt your day, make you uncomfortable and, if left untreated, can cause kidney infections. It is always a good practice to receive medical attention for a UTI, but there are a few ways to prevent them or alleviate the pain if you get one.PB Urology  UTI Pain Image

Drink More Water – Drinking water or unsweetened cranberry juice can help flush out the bacteria that caused your urinary tract infection and help relieve the pain. Drinking enough water each day can help prevent UTIs.

Cut Bladder Irritants from Your Diet – Caffeine, dark sodas, and spicy foods are bladder irritants. Cut them from your diet and focus on foods that are high in fiber and water content.

Empty Your Bladder Frequently – Don’t hold it in. Drinking water to flush your system works only if you empty your bladder frequently.

Change Your Habits – The following practices can help prevent UTIs:

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InterStim therapy is a relatively new technology that is used to treat problems involving bowel and urinary control. It works by correcting communication issues between the brain and the body. A reversible treatment, it may be good for people who have tried other forms of therapy with no success.PB Urology  What is Interstim Therapy Image

Understanding Bladder and Bowel Control Problems
Bladder control problems occur because of a malfunction in the bladder and urethra. Surrounding your urethra is a ring of muscles called the bladder sphincter. When the bladder becomes full, the brain signals the sphincter to remain shut, preventing urine from leaking out. Either the bladder squeezes at the wrong time or the sphincter does not prevent the urine from leaking out.

How InterStim Therapy Works
Your bladder, urinary sphincter, bowel, and rectum are all controlled by what's called the sacral nerves. InterStim therapy targets these nerves with electrical pulses. A small device is implanted, which serves to stimulate the sacral nerves. The device was made by the same manufacturer responsible for the pacemaker. It’s implanted under the skin and can be controlled via the patient's handheld programmer.

Using this programmer, you can adjust the strength of the electrical pulses. The electrical pulses stimulate the sacral nerves and make them work the way they're supposed to. InterStim therapy has been used to successfully treat overactive bladder, fecal incontinence, and urinary retention.

Benefits and Risks of InterStim Therapy
Most patients have reported an improved quality of life and a freedom from the effects associated with bowel or urinary control problems. Though side effects have been reported, their occurrence is very low.

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Knowing the symptoms of Erectile Dysfunction
Erectile dysfunction (or impotence) is the inability to keep an erection during sexual intercourse. About 5% of mean ages 40-64 experience erectile dysfunction and thierictile dysfuntions number rises to 15-20% for men over 65. The inability to get or keep and erection every once in a while is normal and generally not anything that requires treatment. If you encounter the symptoms listed below more than 20% of the time you attempt sex, you should see a doctor.

Symptoms of Erectile Dysfunction

  1. Trouble getting an erection
  2. Trouble keeping an erection
  3. Diminished sexual desire

Causes of ED

While there are a number of factors that could play into ED, there are two main categories: physical and psychological.

Physical:

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Prostate cancer research and treatments are always evolving as we learn more about the disease. The latest research to hit the industry is a study that may have proven there are five different kinds of prostate cancer. Just a few weeks ago, scientists in the United Kingdom concluded a study of the disease that allowed them to distinguish between types of prostate cancer, leading them to believe there are five types that react and grow differently. Here at Palm Beach Urology Associates, we always keep abreast on what’s going on in the industry, so we were fascinated by the news of these possible types of prostate cancer.

The research team from the Cancer Research UK Cambridge Institute and Addenbrooke’s Hospital took the time to study prostate cancerprostate tissue samples of over 250 men who had both healthy prostates and cancerous prostates. By analyzing the differences in these cells, the scientists could group the tumors they saw into five distinct types. They looked for abnormal chromosomes and measured the behavior and activity of over 100 genes that are frequently linked to prostate cancer.

Since this was an experimental study that proved to be successful in learning about prostate cancer and its behavior, the next plan of action in the scientific world is to confirm the findings and results of this small study in a bigger study with more participants.

At Palm Beach Urology Associates, our prostate cancer doctors and experts are extremely impressed with the findings of this study. By observing the behaviors and traits of certain types of prostate cancer, it’s not much longer until scientists are able to experiment with new and different ways to treat this disease that may be even more effective than anything we’ve seen to date.

Mostly, this study shed a little light on prostate cancer and is leading us down a road to eventually know at the point of diagnosis whether this type of prostate cancer will be aggressive or slow growing. This will allow prostate cancer doctors and surgeons to suggest a more accurate treatment plan and outcome for a patient, which is exciting news in the health care industry.

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